[Changes to Manufacturer's Inserts]

On 1/19/2024 at 1:27 PM, REN_NH said:

Do you mean you have a "Manual" called Job Aides that you upload the PDFs in or is it elsewhere in MediaLab?

I have a Job Aids "manual" 

[New PPID Rule Scripts]

What PPID system do you use?  Is it not apparent on the specimen whether it was collected with that system?  We use Mobilab and the labels are very different from the others we use so there is no doubt.

[Changes to Manufacturer's Inserts]

On 1/15/2024 at 8:25 AM, REN_NH said:

Resurrecting this thread to ask what document control systems are being used out there?  I would love to scan in many items to store electronically (i.e. temperature charts, etc.). Are people scanning to a facilities specific drive or something else?    We use MediaLab for policies and competency assessments.

We use MediaLab also and scan the package inserts in a job aids.  You can revise them the same as you can your policies.

[Proficiency Testing for TEG 6s]

This is what we have from CAP for proficiency:

[BloodBankTalk: Marrow transplantation safety and efficacy]

I just answered this question.

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  PASS

 

[BloodBankTalk: Clinical Aspects of Transfusion Reactions]

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  FAIL

 

[CAP ALL COMMON CHECKLIST COM.04250]

We have had HFAP until they were purchased by ACHC, and both of those have cited me for the lack of correlations:  one for not performing them at all, although I pointed out that we do that on every specimen without previous records, and just last year because I didn't include crossmatch tests with my Type and Screen correlations.  I contested the citation again, stating that it was the exact same methodology as the antibody screen, but was unsuccessful as their standards say "the same test using different methodologies ".  I gave up and added XM as well.  No concept of what we do and no common sense! 

[Blood unit patient label]

We print ours on a 4x4 adhesive label and place the label on the back of the unit at issue.

[Post-partum workup]

1 hour ago, jayinsat said:

I am not sure I understand your question. 

If the mother had an admission type and screen and was rh negative, then all that would be required post-delivery is the fetal bleed screen. Why would you want to repeat and antibody screen post delivery?

We do the same as Jayinsat.

[BloodBankTalk: Clinical Aspects of Transfusion Reactions]

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[Nursing verifications done at bedside before transfusion]

We have the compatibility question on the pre-transfusion checklist in Meditech TAR.  We were also cited for this several years ago and have not had a problem with this since.  Whether the RN understands is another question though.

[BloodBankTalk: Is there a standardized age limit for elderly donors?]

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[Workstation Recommendations]

SbbPerson:  Thank you for responding, but what I see on MarketLab isn't quite what I'm looking for.  I am needing work benches with storage under and above, maybe some with sinks included.

[Workstation Recommendations]

We are in the process of remodeling our Lab to accommodate an automation line and need to replace our decades-old lab benches and storage.  Has anyone done this recently that can give me recommendations on suppliers?  I should mention that we are in the US.

[Emergency Issue / MTP]

On 3/7/2023 at 5:41 PM, Ensis01 said:

While I understand the convenience of making MTPs and emergency release a paperless process. I regard the physical signature a good reminder that issuing uncrossmatched blood must not be taken lightly. 

We scan the form to the EMR and the physician signs it electronically.  We recently had a physician who refused to sign the uncrossmatched form when the patient first started hemorrhaging but then called an MTP.  Of course, the MTP was discontinued a few minutes later and he sent back everything except 4 RCs and a platelet.  No idea what he was thinking, but he did sign the form.    

["Critical values"]

I would be leery about putting this on personal cell phones.  This seems to be a huge HIPAA issue.

[BloodBankTalk: Variance for more frequent hemochromatosis donors]

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[BloodBankTalk: Is blood from previously pregnant donors safe?]

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[Meditech phenotype panel]

We do the same.  We have a test that simply asks how many antigens were tested and the technologist enters a number.  This is how many charges will go to the billing module.

[Units for cooler validation]

Expired units

[MEDITECH 5.67 LIS DOWNTIME... HOW DO YOU BACKUP/DOWNLOAD PATIENT FILES?]

Have your LIS person set up the History Backup Client.  This will backup all files and then automatically backup any new or edited files every hour.  We have ours backed up to our network and a portable hard drive that we can access if the network is also down.

[BloodBankTalk: Slow pulse for an athlete donor]

I just answered this question.

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  FAIL

 

[Emergency Neonatal Transfusion in Small Hospitals]

I agree with David and his comments above.  We transfuse neonates very rarely as well.  Considering you are a small rural health center and will not be doing this routinely, you just have to do the best you can in an emergent situation.  We do keep neonatal syringe sets and most of them outdate.

[HIV lookback, defined time period?]

I just read through the regulations again to update our lookback policy and I did not find any such date.

[Has anyone dropped CAP? Pros/cons??]

We have been used HFAP (now part of ACHC--Accreditation Commission for Health Care) for at least the past 20 years.  I have no experience with any other accreditation organization so can't really compare to CAP, but they are another option.